Inspection on 30/01/06 for 23 Duston Road

This inspection was carried out on 30th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

23 Duston Road 22/05/08

23 Duston Road 04/01/07

23 Duston Road 31/01/05

23 Duston Road 06/05/04

Similar services:

Trevayler Residential Care Home

St Marys Nursing Home

Thornham Grove

Thistle Hill Hall

Chater Lodge

Conifer Lodge

Tixover Care Home

Toynton College (Cluster Five)

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 23 Duston Road Duston Northampton Northants NN5 5AR Lead Inspector Linda Clarke Unannounced Inspection 30th January 2006 09:45 23 Duston Road DS0000043835.V279814.R01.S.doc Version 5.1 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address 23 Duston Road DS0000043835.V279814.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. 23 Duston Road DS0000043835.V279814.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service 23 Duston Road Address Duston Northampton Northants NN5 5AR 01604 754559 01604 588276 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) The Richardson Partnership for Care Mr Brian Richardson, Mrs Jacqueline Richardson, Miss Laura Richardson, Mr Greg Cheater Ms Michele Shalini D`Souza Care Home 10 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (10), Physical disability (1) of places 23 Duston Road DS0000043835.V279814.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. No person falling within the category MD can be admitted where there are already 7 persons of category MD already in the Home. The Home can accommodate 1 Service User within the category MD who also has needs within the category PD. No person under 22 years and over 52 years may be admitted to the Home. The Service Users admitted to the home who fall within the category MD must have an Acquired Brain Injury 19th July 2005 Date of last inspection Brief Description of the Service: 23 Duston Road is a care home providing personal care and accommodation for 10 service users with Mental Disorder (Acquired Brain Injury) one of whom may have an additional Physical Disability. The Home is located in a suburb of Northampton close to the local shopping centre of St. James and near to local pub and other amenities. The Home can be easily accessed by public transport and is approximately a mile and a half from Northampton Town Centre. The Home consists of a three-storey building offering single bedroom accommodation to all Service Users. All bedrooms have en suite facilities. The ground floor bedroom has an adjacent, specially adapted bathroom to cater for one Service User who may have additional physical disability. The Home does not have a lift and Service Users accommodated on the upper floors must be able to negotiate stairs. There are two lounges and a separate dining room. The Home has disabled access, parking to the front and Service Users are provided with a rear garden. 23 Duston Road DS0000043835.V279814.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced Inspection that took place between 09.45am and 2.30pm. When undertaking Inspections, the Commission for Social Care Inspection focuses on the outcomes of individuals staying in the home. To support this, two service users were ‘case tracked’. This means that the care records and care plans of these service users were checked. The Inspector spoke with service users and care staff. What the service does well: What has improved since the last inspection? What they could do better: This inspection did not generate any requirements or recommendations. 23 Duston Road DS0000043835.V279814.R01.S.doc Version 5.1 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. 23 Duston Road DS0000043835.V279814.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection 23 Duston Road DS0000043835.V279814.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: Standards within this section were not inspected on this occasion. 23 Duston Road DS0000043835.V279814.R01.S.doc Version 5.1 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8 and 9. Individual plans of care are in place ensuring that service users receive the care they need, supported by risk assessments, which are reviewed with the involvement of the service user. EVIDENCE: The care plan and records of two service user were viewed; the care plan provides information as to the individuals wishes in relation to the provision of care including how this is to be implemented, supported by factors important to the individual which promotes their care and quality of life. Elements of care, which have a degree of risk, which includes the management of behaviour are assessed, detailing as to how the risk is to be managed consistent with the promotion of independence, welfare and safety. The Inspector spoke with two service users, who stated that they were involved in the reviewing of their care plans, including risk assessments, one service user stated that she was not involved in the review of her records, the Registered Manager spoke with her, and went through the care plan at which point the service user recalled the content and made comments as to the information recorded. 23 Duston Road DS0000043835.V279814.R01.S.doc Version 5.1 Page 10 Service users are supported in various ways, through family, friends and professional agencies. Records reflect decisions made by service users, which were further supported by service user house meetings. Service users spoke of the house meetings, and confirmed that comments they make are taken seriously and acted upon, the minutes of the meetings were viewed. Service users have individual bank accounts, which they access supported by care staff as appropriate. Service users spoken with confirmed that they felt their care needs were met, and that staff were supportive and helpful. One lady said that staff employed within the home was able to converse with her in her first language, which helped her to settle in, and feel at ease. The lady also said that her cultural needs were also met in relation to food, and that additional funds were made available to her, in order for her to shop for particular ingredients. Records of two service users also incorporated aspects of cultural needs, with regards to skin care. The Registered Manager said that she makes every effort to ensure that the staff group reflects the multi-cultural population of service users, thus providing care, which reflects individual need. Service users spoken with said they were involved in the recruitment process of staff, after the initial interview conducted by the organisation, candidates visit the care home, and meet with service users, and service users then feed back their views. Service users are also encouraged to develop questions to be put to the candidates during the interview. The service users returned three comment cards to the Commission for Social Care Inspection of which one incorporated additional comments made. “I like the place, the manager is a fair lady. She treats us like her children sort of. She listens to us all the time. Some staff are brilliant, being from overseas there are no racial issues as far as the home is concerned.” 23 Duston Road DS0000043835.V279814.R01.S.doc Version 5.1 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15 and 16. Social activities, leisure activities and the daily routine within the home are managed well and provide opportunities for service users to maintain appropriate and fulfilling lifestyles. EVIDENCE: The care plans and records of two service users recorded the wide range of activities, and education pursuits accessed. Service users have a weekly programme, which is tailored to meet their individual needs. Activities include shopping, attending the gym, art and craft, cinema/theatre, swimming and planned trips to country parks. Some service users are involved in therapeutic work programmes, whilst others are enrolled on college courses, one service user spoken with said she was undertaking an Introduction to Counselling Skills course, at the University of Leicester Northampton Centre, this she access through public transport. Records reflect service users attend a variety of religious services, which reflect their cultural needs. 23 Duston Road DS0000043835.V279814.R01.S.doc Version 5.1 Page 12 Service users were asked as to their holiday destinations of last year, one service user said they had been to Butlins at Skegness, one lady spoke of her planned trip to visit relatives in Florida in Jamaica. Service users have varying degrees of contact with relatives and friends, some relatives and friends visiting service users at the home, whilst some service users visit the family home. One service user said she had visited relatives and friends in both London and Liverpool. Throughout the inspection service users visited the office, some spending time sitting with the Registered Manager and Inspector and contributing to the inspection process. Service users had a clear and open dialogue with staff, staff were both courteous and polite and answered queries posed. Service users went out during the course of the Inspection, some independently whilst care staff supported others. Service users spoken with said that they had keys to their bedrooms, safety issues have been considered and are reflected within a risk assessment. Service users participate in household chores, which include tidying their room and the laundry. 23 Duston Road DS0000043835.V279814.R01.S.doc Version 5.1 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. Service users are looked after well in respect of their health and personal care. EVIDENCE: Service users are allocated a member of staff referred to as a Keyworker, who supports them in maintaining their quality of life, liaises with health care professionals and family and is responsible for the reviewing of care plans. Records evidence service user access to a variety of health care professionals, which includes Opticians, General Practitioners, Physiotherapist and Dentists, along with specialist hospital Consultants. Care plans outline for those service users who require physical support, how this is to be offered by care staff, risk assessments reflect aspects of the delivery of physical care. Specialist equipment is provided for one service user. Medication and medication administration records were viewed; all were found to be in good order. 23 Duston Road DS0000043835.V279814.R01.S.doc Version 5.1 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Management systems provide opportunities for concerns to be raised, and promotes the safeguarding of service users from abuse, neglect and self-harm. EVIDENCE: Staff receive training in the promotion of service users welfare which are further supported by policies and procedures. There was evidence of positive relationships between service users and staff, affording service users to have confidence in discussing issues of concern with staff. Service users also have the support of family and friends and professional personnel such as Social Workers. Service users also participate in meetings, which provides another forum for service users to express their views and raise concerns. 23 Duston Road DS0000043835.V279814.R01.S.doc Version 5.1 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: Standards within this section were not inspected on this occasion. 23 Duston Road DS0000043835.V279814.R01.S.doc Version 5.1 Page 16 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: Standards within this section were not inspected on this occasion. 23 Duston Road DS0000043835.V279814.R01.S.doc Version 5.1 Page 17 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 39. Systems in place ensure that the quality of care offered is reviewed. EVIDENCE: The Registered Manager confirmed that the service users complete, bi-annually service user satisfaction questionnaires. Quality Assurance is also affected through service user house meetings, staff meetings and supervisions. Registered Manager meetings also take place, part of these meetings include the reviewing of policies and procedures. Service user care needs are reviewed bi-annually with the involvement of the service user. 23 Duston Road DS0000043835.V279814.R01.S.doc Version 5.1 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 X 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 X 33 X 34 X 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 3 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X X X 3 X X X X 23 Duston Road DS0000043835.V279814.R01.S.doc Version 5.1 Page 19 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations 23 Duston Road DS0000043835.V279814.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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